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NOTE if Line 23 is greater than zero then Part 4 must be completed Subtract line 23 from line 13. Net Amount Shipped Off-Site CONTINUED FORM RF-FDS Page 2 continued RY Is an exclusion for all or part of a waste stream being claimed on the Annual Hazardous Waste Remedial Action Fee Report in Part 1 Lines 2-10 and/or Part 2 Lines 14-22 for this location YES NO If yes complete Part 3 and 4 below. 03 Waste Stream QTY EXCLUDED RF-FDS Line REASON FOR CLAIMING THE EXCLUSION e.g. Waste Water discharged ...

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